ELMOND LESLIE BOIRE

SAN ANDREAS, CA
NPI1528108107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
-- ELMOND LESLIE BOIRE
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6555
Mailing Address
-- ELMOND LESLIE BOIRE
PO BOX 1095
ANGELS CAMP, CA 95222-1095
Phone number: 209-736-2204
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